Enteral kino - He aha ka mea? Nutrient ukuhiia no nā mea maʻi i loko o ka postoperative au

I ola ua nui na wahi, i hiki i ka wa i kanaka makua hiki ole lawe ai i loko o ka ninau ala. Kēia ka hanaʻano nui ma hope oʻoki kino. Iloko o ka loaa au i ke kanaka mea e hiki i ka mama, a piʻi i hōʻuluʻulu ai. Akā, no hoi i keia manawa i hoomanawanui nele i ana lako hou o māhuaola i ke kino no ka functioning o nā mea a pau nā loko, a hoihoi hou ana i hiki. Ma keia hihia, no ka loaa ana mai o iaʻano o kaʻai i loko o ke kino e like me enteral ai ana.

Enteral kino - He aha ka mea?

Kēiaʻano o ka hoʻomanawanui malama, ia mea he hiʻona i kaʻai a hiki ma ka Tube a he kupaianaha kahua. Ka hapanui pinepine i loko o ia i kaʻai kūikawā nā mea huihuina i hoʻohana. Ka mea, oko mai maʻamau ai no nā mākua, e like me ia ma kekahi Hawaii o ka hoʻomanawanui hiki ole lawe nā huahana.

Nā pono o ka mana

Kēiaʻano o kaʻai i kona pono no nā mea maʻi:

1. Physiological - meaʻai ae 'ana i loko o ka digestive'ōnaehana, hiki ia ia ke hoopuni assimilated a Kuhina i ka hoʻomanawanui ma hopeʻoki kino.
2. Nike ai - no ka mea noi ana i keia iaoia, aole ia e pono he nui loa i kuai ole.
3. Simple e hoʻohana i nā mea - aole he koi o ka mahuahua sterility, e like me ka pono nui e lawelawe i kaʻimi no enteral kino a me ka'ōnaehana pūnaewele no ka moʻolelo e ai ana nā mea huihuina.
4. Ua aʻole i complications nui -ʻimi ua hookomoia me kekahi pilikia, no laila,ʻaʻole nō he likelihood o ka hanana o ke noho pilikia a me ke ola-hooweliweli complications no ka hoʻomanawanui.
5. Apono 'ia i ke kino a me nā mea a pau i ka mea pono, kēia mea ma muli o ke koho ana e pono ai Blend i kanaka.
6. Ua kōkua pale aku i ka helehelena o atrophic 'ole i loko o ka gastrointestinal'āpana.

Nāʻikepili no ka enteral kino

? Ac? O lapaau i loko o nā kenekulia mau hope ka mea e hiki ai i ka aha mea maikaʻi no ke kanaka ma hopeʻoki kino 'ana i kūpono i e kōkua iā ia ola wikiwiki a, e loaa i ka mea e pono ai ka ikaika a me ka mea uuku kamepiula hooholo. A me ka ai nā mea huihuina ma hope oʻoki kino me ka hou 'inikua manaʻo i kona pono a me nāʻikepili. Aia i kekahi mau nāʻikepili i ho'ākāka 'ia nā mea huihuina i kekahi kanaka pono, e like me ka loa i ke ano o kaʻai. ʻimi hoʻopunipuni kino ua hookoia ka wā:

1. Hoomanawanui no o ko lākou manaʻo hiki ole ai ia ia mea unconscious paha hiki ole ke ale wale iho.
2. Ke hoomanawanui hiki ole ai i ka ai - he moku'āina o huʻi pancreatitis a kahe ana ke koko i loko o ka gastrointestinal'āpana.
3. A maʻi kanaka hoole i ka ai, ua hoʻohana 'ia laila, hoʻoikaika ihola enteral kino. He aha ka mea i ka wa he mea ia o ka moku'āina? Ua ka hana ma ka anorexia nervosa, ma ka i 'oe hiki ole e kiʻi i ka opuʻai, e like me ka mea, he pilikia o ka make ma hope o ka hooloihi ae i ka mana ole. Nō hoʻi, heʻano o nā mea palahēhē ka hoomanawanui hiki ke hoole i ka ai, ma ka a ina o ka'ōnaehana ua hoʻohana 'ia no ka enteral kino, e hoʻopiha i ke kino me ka nui ka mahuaola, e kaua aku i ka maʻiʻaʻai.
4. Ka mana Aʻole i na mea e pono ai halawai, ka mea hana i nā palapū, catabolism,'ā.

Kohoia i kēiaʻano o ka mana, a no ka hahai pathological keia:

• ka nele o ke kumuʻiʻo i loko o ke kino a me ka ikehu, ina e hiki ole i kaʻai ana o kēia mau 'ona i loko o ke kino ala;
• i loko o ka hanana o mau hikoko o ke poo, ai a me ka'ōpū;
• ina he mea kekahi e holumua ai mai o ka Central ko mākou hopohopo'ōnaehana, e like me Parkinson ka maʻi, cerebrovascular hahauʻana, likeʻole Hawaii unconsciousness;
• i ka maʻi 'aʻai Hawaii ma hope o ka pāhawewe a me ka chemotherapy;
• Food ua pinepine hoakaka no ka loa gastrointestinal maʻi: pancreatitis, pathological keʻano o ka hanaʻana i loko o ke ake, a biliary'āpana, malabsorption syndromes , a me ka pōkole na naau oʻu, a me Crohn ka maʻi;
• koke ma hope o kaʻoki lāʻau lapaʻau 'uao i loko o ke kino;
• 'ā a me ka huʻiʻapu kōheoheoʻana;
• ka wā o ka fistula, sepsis;
• Inā ulu eiiieaena infectious maʻi;
• ma ka loa kaumaha;
• ma kekahi degere o ka pāhawewe poino o ke kanaka.

Nā Papahana no ka nutrient nā mea huihuina i hoʻolaunaʻia ma

Enteral kino e hoomanawanui i loli aʻe e like me ke ano o ka lakou ai ana;

1. E ho ohana i kaʻimi i ka hui i hoʻolaunaʻia ma loko o ka'ōpū.
2. Power Kiʻina "Sipping" - loaa kūikawā ai hōʻike waha 'i ka poe liilii, e hō mai noʻu.

i kapaia OE, aʻeleu nō hoʻi kēia mau kiʻina hana. Me Kinohi - enteral Tube, e ai ana, infusion ia lŘlŘ me ka kūikawā dispenser kahua. Ka lua -ʻeleu, e manual, lawe maiʻano nui Via 'ohe. No ka hoʻohana 'ana i kēia hana ia mea e pono ke loaa i kekahi dala o ka läÿau, a me ka injected mālie i loko o ka waha o ka poe mai kanaka. I ka lā, ua hāʻawiʻia i nā EII ni, ciliates, a i 'akomi hānai i ka läÿau, koho.

Probes no enteral kino

He nui hoahanau o nā mea maʻi e noi enteral kino - He aha ka mea a ka mea hana i pono no keia? No ka, no ka mea, he ano o ka hoʻopiha i ke kino a me ka ai he pono okoa probes. Ka mea, i maheleia i:

• nasogastric (nazoenteralnye) - lahilahi ea probes i mau lua ma ka kekahi pae, a kaumaha no ka oluolu o ka hooponopono;
• percutaneous - lawelawe ma hope oʻoki kino (pharyngoscope, gastrostomy, esophagostomy, eyunostomiya).

'Ole o ka lako hou i kino

Eʻike i kēia pukana, enteral kino - i ia mea, 'aʻole lawa ke hoʻokō ia. Ua nui nuances hoike ana o ka ai i loko o ke kino i loko o keia alanui, no ka mea hoike, i ka hanai ana o ka hui. Aia nō kekahi mau 'ole o ka loaa ana i ka hoʻomanawanui mana.

1. E hanai oe i ukuhiia me ka ikaika māmā holo. Gavage hoomanawanui hookipa mai ka ai ma ka kekahi wikiwiki, ia mea 40-60 ml / HR. A laila, hoʻomalu nana no i naoh o ka hoʻomanawanui. I ka wa o ka läÿau, i maikaʻi tolerated, i ka mämä holo hiki ke i nā mahuahua. Ma awelika ia maoli he ma 25 ml / HR no 8-12 hola, a laila, no ka mea ia manawa nui ana ke hooloihi i mea hou a ke koi māmā ua hiki. Inā ka hana ua wale paʻa a me ke ahonui o ka mea ana, i ka läÿau, e haawiia mai i oi aku 20-30 ml / HR. He mea pono e akahele kanaka hoʻoponopono i ke ano o ke kanaka. Nausea, diarrhea, ka luaʻi, cramps emi paha o ka uku o ka hoike a me nā mea huihuina a pau, a me kona lehulehu. Ua hoʻololi kekahi i kekahi anakahi i ka mea, aohe stress i ke kino.
2. ʻimi hoʻopunipuniʻai hiki ke lawelawe i loko o ka pōʻaiapuni. Kēia cyclicalʻai o ia i ka hoʻomanawanui ma hope ana lako hou i nā ho'ēmi ia i ka pō, ma mua o ka wanaao ae, e lawe mai ana i ka po. Kēia iaoia He pono no ke ahonui a me ka hiki ke hana ma kekahi gastrostomy Tube.
3. ua i lawe mai Ahaolelo ka mana (papa'āweʻaweʻa kemika) no a pau. Ua Ua hōʻike no ka poe e hoomanawanui i ka poe i diarrhea a gastrointestinalʻoki kino i hanaia. Mai ia mana ua kapaia ka papa'āweʻaweʻa kemika, e like me ka lawe manawa o 4-6 hola.
4. Bolus i hanai. Kēia aaeei mea i 'ano like me he mau meaʻai. I ka läÿau, ua injected ma ka 'ohe a ma ka Tube, akā, i ke komoʻana rula e pololei hookoia. Ma keia mämä holo 'aʻole i oi aku 240 ml no hapalua hora. Ka helu o nā meaʻai no ka lā 3-5 manawa. Akā, e hoʻomaka ka hoʻokuʻi i ka läÿau, kū i hoʻokahi haneri ml. Inā ka hoʻomanawanui poino i pilikia, a laila, i nā pākuʻi me 50 ml. Akā, i kēia? Eia mea pilikia loa i ka pinepine hanana o diarrhea, no laila ia e e hoakaka ia a ua kākoʻo 'ia e ka hoʻomalu.

Maoli ai, i kēia mau 'ole hiki ole e hoakaka customizable no a pau nā mea maʻi e noi ana enteral kino. Koho ana o ka hana, māmā a me ka leo o ka meaʻai haawi i loko o ke kino i wahi me ka kanaka ano.

Waiwai nā mea huihuina koho

Ukuhiia no ka enteral kino E e wae no hoi, e hoopii i ke kanaka pono o nā mea maʻi. Lākou wae hilinaʻi nui ma luna o kekahi mau aʻe.

1. Good kino no ka postoperative nā mea maʻi e i ka maikai ikehu nuʻa. Ia mea i emi aku 1 kcal / ml.
2. pono ia i ka haku mele 'ana o ka läÿau, a me ka lede lactose glyutein. Mau waiwai hiki i allergies.
3. It E e ole aku ma mua o ka osmolarity o 340 mOsm / ho'āo ai.
4. E pale pilikia me ka kaʻaluna o ka ai ia e ia 'ole-(viscosity).
5. Mea e like ai ukuhiia Aʻole ole i ka liki ole intestinal motility.
6. He pono ia ma luna o ka mea e noho ana o ka poe, a me ka alo o ka aaiaoe nā loli o nā polokina.

It E e hoʻomaopopo i ka haʻilula i keiki, e like me pāʻoihana i mai maoli huahana, i ole e pono no enteral kino. Ka mea, eia no ka makua kanaka ka mea, e 'O ke kaulike, a no ia mea, ke ole e lawe mai i ka makemake hopena. No nā mea maʻi ma ka pono o ka ai, kā lākou mauʻano o nā mea huihuina i ua ulu, a e e kūkā mai ma lalo nei.

monomeric läÿau,

Name nā mea huihuina hoʻoholo lākou kuleana pili i. Ka mea, e ole no i ka mea e pono kumumea hehee wale, akā, e hoʻohana pū i loko o ka postoperative wā. i haku o ka monakō koko a me ka paʻakai ia nā mea huihuina, pela i hiki ai i ke ola o ka mea liilii, liʻiliʻi functionality koke ma hope oʻoki kino. Ma ke alo o ka luaʻi 'ole diarrhea mea i maikai ai, e kākoʻo i ka wai a me ka electrolyte koena i loko o ke kino. Oia nā mea huihuina i "holoholo mākou i", "Mafusol", "Regidron", "Tsitroglyukosolan", "Orasan" a me kekahi mau mea e ae.

Ke elemental haku mele 'ana no ka ai

Kēia mana lako hou no nā mea maʻi ua nānā 'ana ma luna o kaʻoi loa wae Nine Inch hehee wale. Ka mea, i hoʻohana 'ia i loko o kekahi hihia o metabolic kāna hana i loko o ke kino i loko o pathologies e like me ake a me nā konāhua' ole, a me ka mimikō pancreatitis. Ma kēia hihia, na pancreas, ke ake, a me nā puʻupaʻa hiki ole hana lākou kekahi oihana, no laila, i kēia mau nā mea huihuina kōkua i ke kanaka e ma ka liʻiliʻi loa hapa 'ia e hoihoi nui i hana'. I ka mana i kēiaʻano nā "Vivoneks", "Fleksikal", "Lofenalak" a me na mea e ae.

hapa-elemental läÿau,

oi pinepine kēia mau'aiaola nā mea huihuina no nā mea maʻi i hoʻohana ma mua o ka mua poʻe. O ke kumu ho i ka mea i ka mea, i ka oi 'O ke kaulike, a kupono i ka laulā huahelu o nā mea maʻi e noi ana i ka hoʻohana' ana o enteral kino. Eia, nā polokina nō i loko o ka palapala o ka'amino nāʻakika a me peptides, e leie aku ia i ka loa ke puana ke kemu i loko o ke kino. Oia pāʻoihana e pili koke ma hope oʻoki kino iʻaihue digestive hana. Mau nā "Nutrien Elemental", "Nutrilon Pepto TSC", "Peptisorb", "Peptamen".

Typical pīlali Blend

Kēiaʻano ua hoʻohana 'ia i loko o na maʻi hope ana, i ka wa a ke kanaka i loko o ka coma. Ka mea,ʻo ka loa e pono no ka makua meaola i loko o kona haku mele 'ana. Mau pāʻoihana loko o nā mea a pau i ka pono nā minelala hao, kumumea hehee wale, nā polokina, bipi kūpaluʻia, carbohydrates. Ka mea, ua māheleʻia i loko o ekolu ano.

1. Maloo ia e nāu kekahi, a e lawelawe ma ka gavage. Kēia kakahiaka enteral kino: "Nutrizon", "Berlamin māhele", "Nutrikomp Koo".
2. Wai, i hiki ke lawelawe koke ia. Ka mea, i papahana no ka wahi, i hiki i kahi e hiki ole lilo i ka minuke, e haawi nui kanaka kino. Mau nā "Berlamin māhele", "Nutrikomp wai", "Nutrizon Koo" a me kekahi mau mea e ae.
3. Nā mea huihuina i hoʻohana hōʻike waha. Kēia "māhele Berlamin", "Nutridrink", "Fortikrem" a no laila, ma luna o.

A hui o directional

Kēiaʻano o ka mana lako ma ka manao like i ka manao o elemental i huiʻia. Ka mea, i ke hoʻololi e hoihoi i ka functionality o ke kino i ka ua pathology. Ka mea, hahau mai metabolic naehana hanu ole, hoʻopōʻinoʻaʻa puʻuwai a me ka ake e hoʻonele.